Precision Benefit Design

A recent viewpoint from Fendrick and Shope (2018) argues for the need for Precision Benefit Design. Successful implementation of precision medicine will need to address several system-wide challenges, including administrative complexities, the creation of new financing models, and aligning provider- and patient-focused initiatives. The enormous clinical potential of precision medicine sheds light on the critical…

Links

Stan for economists. The state of healthcare in a majority minority state. Will undiagnosed atrial fibrillation become a thing of the past? Does free medical school decrease social justice? A $100,000 heart attack (out-of-pocket with insurance!)

Market consolidation in California

Yesterday, I discussed the idea of managed competition in California.  One of the original tenets of managed competition was insurers having integrated, mutually exclusive provider networks.  This would mean much more consolidation on the provider side.  While this could improve quality, there is also a risk that prices could rise.  In fact, this is what…

Managed Competition in 2018

Alain Einthoven is the father of managed competition.  In a recent Health Affairs article, he and Laurence C. Baker look ]at managed competition in California and ask whether the standard conception of managed competition needs to be altered. Before we get to the article, we first need to ask a basic question: what is managed competition?  The…

Prohibition

A recently finished reading Prohibition: A Concise History by W.J. Rorabaugh.  The history is interesting throughout and concise indeed at only 133 pages.  Some interesting excerpts include: Whenever a substance is banned two things happen.  First, the price goes up, and second, the product returns in more concentrated form, or a replacement appears.  The high risk…